| NPI | 1982711016 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA C56025) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301060766) |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2021-11-29 |